Evidence map›Paper›PMID 42189244›Full record

ArticleSurgery today2026

Comparison of the intraoperative intra-aneurysm pressure gradients among seven off-the-shelf endovascular aneurysm repair devices.

Kenichi Kato, Yoshihiko Kurimoto, Ryushi Maruyama, Mika Yamamoto, Keita Sasaki, Takahiko Masuda, Naritomo Nishioka, Shuichi Naraoka

Abstract readComparative Study
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In one paragraph

Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Kenichi KatoDepartment of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40 Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. ka10ken1@sapmed.ac.jp.ORCID http://orcid.org/0000-0002-6977-8289
Yoshihiko KurimotoDepartment of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40 Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
Ryushi MaruyamaDepartment of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40 Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
Mika YamamotoDepartment of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40 Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
Keita SasakiDepartment of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40 Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
Takahiko MasudaDepartment of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40 Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
Naritomo NishiokaDepartment of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40 Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
Shuichi NaraokaDepartment of Cardiovascular Surgery, Teine Keijinkai Hospital, 12-1-40 Maeda 1-jo, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the intra-aneurysm pressure (IAP) after the implantation of various off-the-shelf endovascular aneurysm repair (EVAR) devices and examine its clinical implications.

methodsA retrospective review of 153 EVAR cases for infrarenal abdominal aortic aneurysm (AAA) with bilateral common iliac landings and no residual type I/III endoleaks was conducted. During EVAR, the IAP and abdominal aortic pressure (AAP) were measured, and the aorta-aneurysm systolic pressure gradient (AASPG = systolic AAP - systolic IAP) was compared among the devices and between the graft fabric materials. The associations between the AASPG and postoperative AAA shrinkage were also assessed.

resultsThe AASPGs (mmHg) for the devices were as follows: Aorfix (34 cases), 17.8 ± 12.9; Endurant (32 cases), 22.3 ± 16.9; AFX (26 cases), 17.5 ± 18.0; Zenith Alpha (20 cases), 25.7 ± 16.3; Excluder (16 cases), 26.4 ± 19.7; TREO (13 cases), 30.5 ± 11.8; and Alto (12 cases), 37.7 ± 14.5 (p = 0.002). Polytetrafluoroethylene grafts showed a higher AASPG than woven polyester grafts (31.3 vs. 22.5 mmHg, p = 0.009). No significant association was observed between the AASPG and AAA shrinkage.

conclusionThe degree of IAP reduction differs according to the EVAR device and graft fabric material. These findings provide baseline data on the device-specific effects of IAP.

Indexed as

Aorta, AbdominalAortic Aneurysm, AbdominalBlood PressureBlood Vessel ProsthesisEndovascular Aneurysm RepairEndovascular ProceduresAgedAged, 80 and overFemaleHumansIntraoperative PeriodMalePressureProsthesis DesignRetrospective StudiesAbdominal aortic aneurysmEndovascular aneurysm repairIntra-aneurysm pressureStent graft

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.